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74230 X-ray xm swlng funcj c+

Radiology

Also known as: Swallow study, Video fluoroscopic swallow study

Radiographic examination of the swallowing function using barium or other contrast medium to assess coordination and safety of deglutition.

In Plain Language

X-ray video of swallowing

Clinical Context

Evaluates aspiration risk, dysphagia mechanisms, and swallowing function. Often performed post-stroke or with neurologic disease.

RVU Breakdown

Work RVU0.52
Total RVU0.52

Est. Medicare Payment

$17.37

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Radiology codes require a written order, clinical indication, and a formal interpretation report. The professional component (modifier -26) and technical component (modifier -TC) may be billed separately.

How This Code Compares

With a work RVU of 0.52, this code ranks in the 30th percentile among Radiology codes — 1.6x below the median (0.81). The highest wRVU in this category is 11.57.

Specialties

RadiologySpeech PathologyNeurology

Frequently Asked Questions

What is CPT code 74230?

CPT 74230 (X-ray xm swlng funcj c+) is a Radiology code. Radiographic examination of the swallowing function using barium or other contrast medium to assess coordination and safety of deglutition.

Who uses CPT code 74230?

CPT 74230 is used by Radiology, Speech Pathology, Neurology. Evaluates aspiration risk, dysphagia mechanisms, and swallowing function. Often performed post-stroke or with neurologic disease.

When is CPT 74230 used?

Evaluates aspiration risk, dysphagia mechanisms, and swallowing function. Often performed post-stroke or with neurologic disease.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.